River Oaks Care Center

Nursing Home · Steele, MO

CMS overall rating 3/5 For profit - Individual

CMS certification number265210

Contact & location

1001 North Walnut
Steele, MO 63877
Pemiscot County
Phone
(573) 695-2121
ZIP code
63877 – all care providers

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Facility details

Certified beds
90
Residents per day
61.5 (68% occupied)
Ownership
For profit - Individual
Legal name
Steele No 1 INC
Chain
Circle B Enterprises (36 facilities, avg 2.5★)
Medicare certified since
October 31, 1983
Participates in
Medicare and Medicaid
Council
Resident council

CMS star ratings

Overall★★★★★ 3/5
State avg 2.5
Health inspections★★★★★ 3/5
State avg 2.8
Staffing★★★★★ 2/5
State avg 2.2
Quality measures★★★★★ 3/5
State avg 2.7
Long-stay quality★★★★★ 3/5
Short-stay qualityNot rated

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing
3.40 (state 3.43 · U.S. 3.86)
Registered nurses (RN)
0.34 (state 0.46 · U.S. 0.69)
Licensed practical nurses
0.67 (state 0.68 · U.S. 0.86)
Nurse aides
2.39 (state 2.29 · U.S. 2.32)
Weekend total
3.03 (state 3.02 · U.S. 3.42)
Nursing staff turnover
60.6 (state 56.0 · U.S. 45.8)%
RN turnover
40.0 (state 47.8 · U.S. 42.9)%
Administrators who left
1 in the last year

Inspections

Last standard inspection
August 8, 2025
Health deficiencies (last cycle)
5.0 (state 11.5 · U.S. 9.3)
From complaints
0
Citations on record (3 years)
15 health · 4 fire safety · includes immediate jeopardy
DateCitationSeverityStatus
2025-08-08 Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
F0584 · Resident Rights Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2025-09-22
2025-08-08 Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
F0655 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-09-22
2025-08-08 Provide care or services that was trauma informed and/or culturally competent.
F0699 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-09-22
2025-08-08 Ensure medication error rates are not 5 percent or greater.
F0759 · Pharmacy Service Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-09-22
2025-08-08 Develop and implement policies and procedures for flu and pneumonia vaccinations.
F0883 · Infection Control Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-09-22
2024-11-20 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection
J
Immediate jeopardy to resident health or safety
Corrected 2024-12-16
2024-11-20 Respond appropriately to all alleged violations.
F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection
J
Immediate jeopardy to resident health or safety
Corrected 2024-12-16
2024-08-16 Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
F0584 · Resident Rights Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2024-10-15
2024-08-16 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-10-15
2024-08-16 Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
F0693 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-10-15
2024-08-16 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F0755 · Pharmacy Service Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-10-15
2024-08-16 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-10-15
2023-05-04 Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
F0584 · Resident Rights Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2023-06-15
2023-05-04 Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
F0655 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2023-06-15
2023-05-04 Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
F0761 · Pharmacy Service Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2023-06-15

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

1 penalty in the last three years, including $41,389 in fines.

DateTypeAmount
2024-11-20Fine$41,389

Ownership & management

NameRoleSince
Circle B Enterprises Holding Company INC (organization)5%+ Direct Ownership Interest · 100%
Agh1 LLC (organization)Administrator · NOT APPLICABLE
Arshad, Abdullah (individual)Administrator · NOT APPLICABLE
Beaird, Todd (individual)Administrator · NOT APPLICABLE
DCB Real Estate Partnership LP (organization)Administrator · NOT APPLICABLE
FG LLC (organization)Administrator · NOT APPLICABLE
Forvis Mazars LLP (organization)Administrator · NOT APPLICABLE
Mid States INC (organization)Administrator · NOT APPLICABLE
Sovereign Healthcare Group LLC (organization)Administrator · NOT APPLICABLE
Spence, Elizabeth (individual)Administrator · NOT APPLICABLE
Steele Development Properties LLC (organization)Administrator · NOT APPLICABLE
Van De Ven LLC (organization)Administrator · NOT APPLICABLE
Bedell, Donald (individual)Corporate Director · NOT APPLICABLE
Beaird, Todd (individual)Corporate Officer · NOT APPLICABLE
Bedell, Donald (individual)Corporate Officer · NOT APPLICABLE
Bedell, Bryan (individual)Individual Is An Owner, Partner Or Trustee Of Any Administrator · NOT APPLICABLE
Agh1 LLC (organization)Operational/managerial Control · NOT APPLICABLE
Arshad, Abdullah (individual)Operational/managerial Control · NOT APPLICABLE
Bedell, Donald (individual)Operational/managerial Control · NOT APPLICABLE
Sovereign Healthcare Group LLC (organization)Operational/managerial Control · NOT APPLICABLE
Spence, Elizabeth (individual)Operational/managerial Control · NOT APPLICABLE

Frequently asked questions

What is the rating of River Oaks Care Center?

River Oaks Care Center has a 3-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 2.5-star average in Missouri.

How many beds does River Oaks Care Center have?

It has 90 certified beds and cares for about 62 residents per day.

Has River Oaks Care Center been fined?

Yes. CMS lists 1 penalty totaling $41,389 in the last three years.

Who owns River Oaks Care Center?

It is part of Circle B Enterprises and is classified as for profit - individual. See the ownership table above for all owners and managers reported to CMS.

What is the phone number of River Oaks Care Center?

(573) 695-2121. The facility is located at 1001 North Walnut, Steele, MO 63877.

Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.